Active NPI
Mother Bloom Womens Wellness
- Clinic/Center
- Ann Arbor, MI
National Provider Identifier
1962310458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- MOTHER BLOOM WOMENS WELLNESS
- Practice address
- 2800 S State St Ste 215
Ann Arbor, MI 48104-7103 - Phone
- (734) 395-5868
- NPI assigned
- Aug 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anna R Fernandez, CNM
- Title
- Certified Nurse Midwife
- Phone
- (734) 395-5868
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
2800 S State St Ste 215
Ann Arbor, MI 48104-7103
Mailing address
11150 Boyce Rd
Chelsea, MI 48118-9411
Phone (734) 395-5868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787788800000",
"number": "1962310458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11150 BOYCE RD",
"city": "CHELSEA",
"state": "MI",
"postal_code": "481189411",
"telephone_number": "734-395-5868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 S STATE ST STE 215",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481047103",
"telephone_number": "734-395-5868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOTHER BLOOM WOMENS WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-27",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A",
"authorized_official_last_name": "FERNANDEZ",
"authorized_official_first_name": "ANNA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CERTIFIED NURSE MIDWIFE",
"authorized_official_telephone_number": "734-395-5868",
"authorized_official_credential": "CNM"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.